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Catechol-O-methyltransferase Val158Met polymorphism (rs4680) is associated with pain in multiple sclerosis
César Fernández-de-las-Peñas1, Silvia Ambite-Quesada, Rosa Ortíz-Gutiérrez
1Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain; Esthesiology Laboratory, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain.
Unlabelled:
Alterations in the rs4680 Val158Met polymorphism are associated with the presence of pain. No study has investigated the role of Val158Met polymorphism in the susceptibility to exhibit pain in multiple sclerosis (MS). Our aim was to investigate the relationship between Val158Met polymorphism (rs4680) and the presence of pain in MS. One hundred eight (n = 108) patients (mean age: 44 ± 8 years) with a definitive diagnosis of MS and 108 matched controls participated. Fifty-eight patients (54%) had pain and 50 (46%) did not report pain. After amplifying Val158Met polymorphisms by polymerase chain reactions, rs4680 genotype frequencies and allele distributions were calculated. We classified individuals according to their Val158Met polymorphism: Val/Val, Val/Met, and Met/Met. The results showed that distribution of rs4680 Val158Met genotypes was not significantly different between individuals with MS in general and healthy people (χ2 = 2.212, P = .331). When we differentiate MS patients with pain and those without pain, the prevalence of Val158Met genotypes was significantly different (χ2 = 9,610, P = .046): Patients experiencing pain exhibited higher prevalence of Met/Met genotype than those without pain and healthy controls. Current results suggest that the Met allele of Val158Met polymorphism could be a potential risk factor for the development of pain in MS but not for the predisposition of MS itself.
Perspective:
This study suggests that the Val158Met polymorphism is associated with the presence of pain in MS, but it is not a risk factor for MS itself because the presence of the Met/Met genotype was more prevalent in those patients with pain. This study provides further evidence of potential genetic factors that predispose patients with MS to develop pain.
Insights
The rs4680 Val158Met polymorphism, specifically the Met/Met genotype, is linked to a higher prevalence of pain in multiple sclerosis (MS) patients. This genetic factor may increase susceptibility to pain in MS but not MS itself.
Area of Science:
- Neurogenetics
- Pain Research
- Multiple Sclerosis (MS) Genetics
Background:
- The rs4680 Val158Met polymorphism is associated with pain perception.
- The role of this polymorphism in pain susceptibility in multiple sclerosis (MS) remains uninvestigated.
Purpose of the Study:
- To investigate the relationship between the rs4680 Val158Met polymorphism and the presence of pain in individuals with MS.
- To determine if this polymorphism influences pain susceptibility in MS patients.
Main Methods:
- Genotyping of the rs4680 Val158Met polymorphism using polymerase chain reactions in 108 MS patients and 108 matched controls.
- Analysis of genotype frequencies and allele distributions.
- Comparison of genotype prevalence between MS patients with and without pain, and healthy controls.
Main Results:
- No significant difference in rs4680 Val158Met genotype distribution was found between MS patients and healthy controls.
- A significant difference in genotype prevalence was observed between MS patients with and without pain (P = .046).
- MS patients experiencing pain showed a higher prevalence of the Met/Met genotype compared to those without pain and healthy controls.
Conclusions:
- The Met allele of the rs4680 Val158Met polymorphism may be a risk factor for developing pain in MS.
- This polymorphism is not associated with MS predisposition itself.
- Further evidence suggests potential genetic factors influencing pain development in MS patients.
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